NPI

Andrea Anderson

NPI 1639823198

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
FNP-BC
Type
Individual
Enumeration date
2022-02-03
Last updated
2023-05-30

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Specialties

Licenses

License TX
1069450

Location

Practice location
1757 Broad Park Cir N Ste 201
City
Mansfield TX
Postal code
76063-7839
Phone
(817) 806-1130

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Mansfield, TX. 2,269 records in the public file.

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